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SANDRA GORDON JACKSON LCSW
NPI 1316089840
Social Worker - Clinical in Houston, TX

Active since February 12, 2007Opted out of Medicare · through Oct 1, 2027
2121 SAGE RD STE 180, HOUSTON, TX 77056(713) 622-7590(713) 622-7599 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Gordon Jackson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA GORDON JACKSON LCSW (NPI 1316089840) is an individual clinical provider in Houston, Texas, licensed in Texas (S02039) and active in the NPI registry since February 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316089840
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA GORDON JACKSONCredential: LCSW
Location Address2121 SAGE RD STE 180Houston, TX 77056-4326
Mailing Address2121 Sage Rd Ste 180Houston, TX 77056-4326 · (713) 622-7590 · Fax (713) 622-7599
Phone(713) 622-7590
Fax(713) 622-7599
Sole ProprietorYes
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316089840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · S02039
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2121 SAGE RD STE 180, Houston, TX 77056
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified00S79JTX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sandra Gordon Jackson Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2009 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2009
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.24 – $176.98
Typical copayment $0.00 (range $14.56 – $44.24)
Most-billed visit code NA
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL A VAUGHAN LCSW
Social Worker (Clinical)
2121 SAGE RD STE 180
HOUSTON, TX 77056
Harris County (713) 622-7591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Jackson's NPI number?

The NPI number for Sandra Jackson is 1316089840. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Sandra Jackson located?

Sandra Jackson practices at 2121 Sage Rd Ste 180, Houston, TX 77056. The listed phone number is (713) 622-7590.

What is Sandra Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sandra Jackson enrolled in Medicare?

No. Sandra Jackson has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sandra Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.